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NPI 1639168271

NPI 1639168271 : ABELARDO MONTES P.A.C. : EL PASO, TX

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General NPI Number Information
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    NPI Number           |    1639168271
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    Entity Type          |    Individual 
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    Provider Name        |    ABELARDO MONTES P.A.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/17/2005
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    4815 ALAMEDA AVE 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79905-2705
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    Country              |    US
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    Telephone            |    915-215-4600
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    Fax                  |    915-545-7338
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Provider Business Mailing Address
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    Address Line         |    440 RAYNOLDS ST # 51015 
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    City                 |    EL PASO
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    State                |    TX
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    Zip                  |    79905-1613
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    Country              |    US
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    Telephone            |    915-215-4480
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    Fax                  |    915-215-5386
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    PA01891
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    License Number State |    TX
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